Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,133.92 / $4,933.00 / $4,933.00	Facility		$2,133.92	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.53 / $2,133.92 / $2,212.96	Professional		$1,479.53	$2,133.92	$2,212.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,716.61 / $8,993.98 / $12,185.41	Facility		$7,716.61	$8,993.98	$12,185.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.74 / $2,249.98 / $2,634.37	Professional		$418.74	$2,249.98	$2,634.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,432.30 / $2,151.71 / $2,747.55	Professional		$1,432.30	$2,151.71	$2,747.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,807.16 / $4,933.00 / $4,933.00	Facility		$1,807.16	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,807.16 / $1,821.05 / $2,503.53	Professional		$1,807.16	$1,821.05	$2,503.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $1,280.21 / $1,987.17	Professional		$104.37	$1,280.21	$1,987.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,822.03 / $2,273.53 / $2,805.86	Professional		$1,822.03	$2,273.53	$2,805.86